| NPI | 1891874087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 19028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 19028) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2013-02-04 |