| NPI | 1073660445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96024) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL me96024) |
| 208D00000X General Practice (Licence: FL me96024) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-01-06 |