| NPI | 1710306592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: CA A139820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049441) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-12-06 |