| NPI | 1730632944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A187065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD469037) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2023-07-11 |