| NPI | 1396266466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS021484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A16784) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-12-14 |