| NPI | 1932128139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A87771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-12906) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-10-21 |