| NPI | 1306071485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10019) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL OS10019) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2020-08-31 |