| NPI | 1144518176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME120197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02125) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2014-07-31 |