| NPI | 1114376597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A167711) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A167711) |
| 207R00000X Internal Medicine (Licence: OR PG177569) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-03-07 |