| NPI | 1881121358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D91555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 67349) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2021-09-27 |