| NPI | 1386629202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0011035) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VT 0420011035) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2011-06-10 |