| NPI | 1760583843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 040356) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 040356) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-01-10 |