| NPI | 1770550246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 54688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 34674) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-10-26 |