| NPI | 1710348628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A163439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 18545) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2023-07-28 |