| NPI | 1104909027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A75201) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA a75201) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-04-23 |