| NPI | 1619359072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A154485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209715) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-08-27 |