| NPI | 1790786333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C54393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-112733) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2019-09-01 |