| NPI | 1134431463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02092) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2013-09-03 |