| NPI | 1861029001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A203463) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 202300983) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-11-24 |