| NPI | 1821086778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C54523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 32551) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-11-09 |