| NPI | 1992371603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A20973) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 20A20973) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-07-19 |