| NPI | 1770928954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C170012) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R72806) |
| 207R00000X Internal Medicine (Licence: AZ 49238) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-02-01 |