| NPI | 1255437075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 55723) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 055723) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-02-02 |