| NPI | 1962429605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 057766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 057766) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-03-02 |