| NPI | 1811072051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 4431) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 3755) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-04-07 |