| NPI | 1174540900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-9895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G47829) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2022-04-05 |