| NPI | 1427047885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 00021023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00021023) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2015-03-23 |