| NPI | 1285892117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D73661) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A140118) |
| 207Q00000X Family Medicine (Licence: NC 148913) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2022-01-06 |