| NPI | 1780986422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A119723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 50882) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2023-01-17 |