| NPI | 1174597330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 221782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD09452) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2024-08-30 |