| NPI | 1275944084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: CA A140409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT205717) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2023-11-27 |