| NPI | 1053738310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A142659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 17188) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-04-26 |