| NPI | 1164788923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2022-00487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A151427) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2022-04-28 |