| NPI | 1285804005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA CDS.039988-MD) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA GETp.200268) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2011-11-18 |