| NPI | 1902224280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1013837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A140631) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-06-23 |