| NPI | 1356788772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 97416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A132696) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2023-10-24 |