| NPI | 1952609430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A130138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198549) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2015-07-10 |