| NPI | 1750458816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G66731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G066731) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-11-16 |