| NPI | 1366771727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A121682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 14952) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2023-04-18 |