| NPI | 1972839363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C54041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 226968) |
| 207R00000X Internal Medicine (Licence: LA 202470) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2013-08-08 |