| NPI | 1356908966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A19983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT019066) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-08-09 |