| NPI | 1902823735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD21397) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 21397MD) |
| 207R00000X Internal Medicine (Licence: OR 2139MD) | |
| 207R00000X Internal Medicine (Licence: OR MD21397) | |
| 208000000X Pediatrics (Licence: OR MD21397) | |
| 208000000X Pediatrics (Licence: OR 21397MD) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-03-07 |