| NPI | 1346574753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 9104800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 9104800) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2010-02-02 |