| NPI | 1447770532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 85066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C202483) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-11-18 |