| NPI | 1730855230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-00847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A190336) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-08-30 |