| NPI | 1750584389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A116373) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010019739) |
| 207R00000X Internal Medicine (Licence: CA 116373) | |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2022-03-10 |