| NPI | 1407485402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1018196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A21220) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-10-01 |