| NPI | 1598947962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C177057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252555) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2024-08-16 |