| NPI | 1679943880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 142018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A142018) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2018-12-05 |