| NPI | 1548478951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 2290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A116130) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-06-23 |