| NPI | 1235217357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A96252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 10258) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-12-15 |