| NPI | 1295841427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 230582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH RT 1326) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-11-16 |