| NPI | 1912387796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A18494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015017139) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2021-11-18 |