| NPI | 1306182464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A12299) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A12299) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2021-12-21 |