| NPI | 1710208657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NC 2013-00749) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2013-00749) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2013-00749) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2023-12-18 |