| NPI | 1063707735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MA 260603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-248295) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2016-03-10 |