| NPI | 1942865456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A191505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 72169) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-10-17 |