| NPI | 1538114921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 041783) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 041783) |
| 208D00000X General Practice (Licence: GA 041783) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-01-03 |