| NPI | 1679755045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A126381) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A126381) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A126381) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2017-10-12 |