| NPI | 1407834278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2005-01169) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-01169) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-02-05 |