| NPI | 1770147027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A181233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG194017) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2022-09-19 |