| NPI | 1760470926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C138620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2002024881) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2023-06-13 |