| NPI | 1942326517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A98472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19205) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-08-05 |