| NPI | 1366836942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2018-01928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 7494) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2018-08-22 |