| NPI | 1174517122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME123735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12286) |
| 207R00000X Internal Medicine (Licence: NY 229705) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2016-01-29 |