| NPI | 1801027628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 205547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C149614) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2024-09-24 |