| NPI | 1326116625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101240939) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D73255) |
| 207R00000X Internal Medicine (Licence: VA 0101240939) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-02-12 |