| NPI | 1124119631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME103086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35079456) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2013-02-12 |