| NPI | 1053506485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101249851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0072369) |
| 207R00000X Internal Medicine (Licence: FL ME107048) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2015-02-20 |