| NPI | 1942482633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A 103583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 81023) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2011-11-08 |