| NPI | 1114304839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 70910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A159458) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2023-03-16 |