| NPI | 1053361238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A53571) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 34218-020) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-04-18 |