| NPI | 1831584366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-01342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A146539) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2019-08-28 |