| NPI | 1801002449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101246322) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: VA 0101246322) |
| 207R00000X Internal Medicine (Licence: VA 0100246322) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-10-11 |