| NPI | 1225564727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A18532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R2783) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-03-08 |