| NPI | 1336400431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A14302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54231) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2023-12-28 |