| NPI | 1205045390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A111771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT193864) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-03-07 |