| NPI | 1881663615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 35263) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 18964) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2012-11-13 |