| NPI | 1114967585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD10548) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD10548) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-10 |