| NPI | 1215988878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A69067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 049032) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-03-25 |