| NPI | 1780609834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A65089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 9807) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-08-24 |