| NPI | 1558330399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 133833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301077787) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2021-11-29 |