| NPI | 1740396092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0043436) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0043436) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2017-04-26 |