| NPI | 1881072015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A24274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0067552) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2025-12-17 |