| NPI | 1528470739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: CA A162728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG167973) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2019-11-19 |