| NPI | 1538361464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A11096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI DO00628) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2025-01-14 |