| NPI | 1598021164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101019860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019860) |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2017-08-22 |