| NPI | 1225002546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO-656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO-656) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2023-03-07 |