| NPI | 1831164193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A75440) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD426589) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2021-08-18 |