| NPI | 1417397100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2017-02045) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2017-02045) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2024-09-24 |