| NPI | 1639480585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A165143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 245349) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2023-10-25 |