| NPI | 1801388426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A174546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 26642) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2021-10-14 |