| NPI | 1255536942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A105967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-01477) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2021-12-14 |