| NPI | 1578908976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A15333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H81476) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2021-12-20 |