| NPI | 1144476318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-01728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME105227) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2012-03-27 |