| NPI | 1053585760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD171693) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A117129) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2021-11-22 |