| NPI | 1023047875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME127835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1631581) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2016-05-04 |