| NPI | 1104915388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A115500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D64944) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-12-15 |