| NPI | 1730874231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A207265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 84911-20) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A207265) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2026-08-06 |