| NPI | 1073553962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C56051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C5104608) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-12-19 |