| NPI | 1477852663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO207256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A12481) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2025-05-13 |