| NPI | 1831382191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A98909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008013238) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2025-12-17 |