| NPI | 1396871075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 232039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-221670) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-11-10 |