| NPI | 1265874010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A140646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103663) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2023-08-21 |