| NPI | 1205076171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 260809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13398) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2014-09-23 |