| NPI | 1144540097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: FL ME124523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244570) |
| 2085R0001X (Licence: MA 253714) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2016-11-18 |