| NPI | 1083649669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 152397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME65060) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-09-25 |