| NPI | 1407044480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME101871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036117947) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2017-03-20 |