| NPI | 1710924311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 0099-00545) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 099-00545) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-07-22 |