| NPI | 1033225784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C142940) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 8087) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-06-22 |