| NPI | 1205848892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C193108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55852) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2024-02-06 |