| NPI | 1356578272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 250421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME TD 121060) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2013-03-13 |