| NPI | 1225022155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 230386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12131) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2009-01-30 |