| NPI | 1013202399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101019104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019104) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2020-10-22 |