| NPI | 1720165525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A84763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A84763) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-09-28 |