| NPI | 1205975976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 205106) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: MA 205106) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-04-22 |