| NPI | 1457642027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 135238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD166044) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2020-06-22 |