| NPI | 1366602153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 062389) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 062389) |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2023-03-10 |