| NPI | 1184767220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.18141) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 18141) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-08-22 |