| NPI | 1811997901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G187560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 78214) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2024-01-22 |