| NPI | 1447268198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-01876) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 01876) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-09-10 |