| NPI | 1710145792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI DOS-1626) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2011-01274) |
| 207Q00000X Family Medicine (Licence: NC proccessed) | |
| 207R00000X Internal Medicine (Licence: NC 2011-01274) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2021-07-13 |