| NPI | 1275662256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-01714) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 134152) |
| 207R00000X Internal Medicine (Licence: NC 134152) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-09-08 |