| NPI | 1154735587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0083021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A169212) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2020-08-21 |