| NPI | 1225177488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-01306) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301052029) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-07-03 |