| NPI | 1568621910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 282117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 42183) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2021-12-06 |