| NPI | 1053690537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019026842) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2019026842) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2024-04-25 |