| NPI | 1306075510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 11017142A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301095246) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2013-06-27 |