| NPI | 1144209560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 041439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 041439) |
| 208D00000X General Practice (Licence: CT 041439) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2017-07-10 |