| NPI | 1922284975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C174931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD Doo66815) |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2021-10-27 |