| NPI | 1912012972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G137835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 58041) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-02-29 |