| NPI | 1174605133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C52731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12062) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-04-15 |