| NPI | 1215282207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A141202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251499) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2021-12-17 |