| NPI | 1376871772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME113362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 145735) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2023-08-09 |