| NPI | 1871534552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 43731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G43731) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-03-13 |