| NPI | 1750673075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C207139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502210) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2026-08-03 |