| NPI | 1861830051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A14713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL0961) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2021-12-03 |