| NPI | 1093042491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C169045) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD170241) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2021-11-01 |