| NPI | 1629399316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 19456) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 7901) |
| 207Q00000X Family Medicine (Licence: NJ 25MA11580200) | |
| 207Q00000X Family Medicine (Licence: FL 160381) | |
| 207R00000X Internal Medicine (Licence: CO 51568) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2024-10-21 |