| NPI | 1063649747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 115056) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 157040) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2013-02-06 |