| NPI | 1275510216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 5588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G68248) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2022-07-21 |