| NPI | 1871911347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A166229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 17345) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-06-08 |