| NPI | 1497300263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A193637) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A193637) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2025-10-01 |