| NPI | 1972007649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 38076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A166195) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-07-21 |