| NPI | 1962050252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4704305033) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 4704305033) |
| 207R00000X Internal Medicine (Licence: MI 4704305033) | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-12-18 |