| NPI | 1295397966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A21320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61334672) |
| 207R00000X Internal Medicine (Licence: IL 125.075176) | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-11-15 |