| NPI | 1962596924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C199230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 8839) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-01-14 |