| NPI | 1437321965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D74091) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 24545) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2020-01-24 |