| NPI | 1790806081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A109594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 13599) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-12-21 |