| NPI | 1750669578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A122662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49598) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2024-04-18 |