| NPI | 1770603946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-43004) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A91910) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-11-04 |