| NPI | 1942682471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101027000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A18653) |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2022-10-05 |