| NPI | 1275601692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD34009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A73918) |
| 207R00000X Internal Medicine (Licence: MD D0059647) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2021-06-23 |