| NPI | 1568849545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD213348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A144077) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-05-19 |