| NPI | 1154497857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 063237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 036-114202) |
| 207R00000X Internal Medicine (Licence: GA 63237) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2013-05-29 |