| NPI | 1962886705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL APRN9212723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN9212723) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2025-03-04 |