| NPI | 1942352794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 039382) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CT 039382) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2015-11-05 |