| NPI | 1316965429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A65185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 56357) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-09-07 |