| NPI | 1659391597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301068682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA g70615) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-09-03 |