| NPI | 1184664237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A72912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME110541) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-11-03 |