| NPI | 1497832620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 22780) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 22780) |
| 207Q00000X Family Medicine (Licence: AZ 22780) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-09-25 |