| NPI | 1295147163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 310637) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 310637) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2024-04-12 |