| NPI | 1972919736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A188231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 291406) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2024-02-07 |