| NPI | 1245298470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME111497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 226869) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-02-09 |