| NPI | 1285696831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012011172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME51683) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2015-10-14 |