| NPI | 1306880679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C52175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 41655) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-01-27 |