| NPI | 1184910390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A129457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098526) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-04-06 |