| NPI | 1538199765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A9647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS7827) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-04-29 |