| NPI | 1790950079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A123317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 109612) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2020-01-22 |