| NPI | 1144424979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0015055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH RT1758) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-12-11 |