| NPI | 1821288069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A11221) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101017490) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-12-11 |