| NPI | 1770046500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM NM2023-1220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A179024) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2025-06-20 |