| NPI | 1952689135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 51354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A124982) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2022-03-18 |