| NPI | 1871658864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C130330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 23607) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2021-12-22 |