| NPI | 1336395862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 2521) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101017780) |
| 207R00000X Internal Medicine (Licence: MI 5101017780) | |
| 207Q00000X Family Medicine (Licence: NY 257269) | |
| 207Q00000X Family Medicine (Licence: FL OS11554) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2014-05-23 |