| NPI | 1285296251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN11002989) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL APRN11002989) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |