| NPI | 1053589903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME102166) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL trn8966) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2014-08-25 |