| NPI | 1629182159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME171380) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A92316) |
| 207Q00000X Family Medicine (Licence: OH 35.122355) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2025-01-13 |