| NPI | 1275520009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 15404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0010649) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2018-04-26 |