| NPI | 1780782615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 52811) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3009) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-08-16 |