| NPI | 1760649560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 108520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229063) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-11-03 |