| NPI | 1861552325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0056775) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C158624) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-03-10 |