| NPI | 1609018159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CO 56655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301100114) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2016-09-02 |