| NPI | 1629070198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A7402) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A7402) |
| 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-117554) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2024-02-01 |