| NPI | 1205320199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MD R193789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD R193789) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-01-04 |