| NPI | 1104870377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME 017686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD11540) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-10-20 |