| NPI | 1043384050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A064207) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A064207) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2017-01-24 |