| NPI | 1942555388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-46641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252027) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-09-15 |