| NPI | 1336328079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0052023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0052023) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2020-10-01 |