| NPI | 1003886508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 58466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA GFE074973) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2022-12-30 |