| NPI | 1497019897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD213358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016010132) |
| 208D00000X General Practice (Licence: MO 2016010132) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2022-09-14 |