| NPI | 1154700540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A172773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 37248) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-05-09 |