| NPI | 1992882476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60731592) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA05694100) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-11-14 |