| NPI | 1598967317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A116582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301089704) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-11-11 |