| NPI | 1609187285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C152970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301 096 821) |
| 207R00000X Internal Medicine (Licence: VA 0101255069) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2021-11-29 |