| NPI | 1285869610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: FL ME119132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN13797) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2014-11-17 |