| NPI | 1790923290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME108553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GU M-2386) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2023-06-26 |