| NPI | 1407851918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 107280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 34702) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2010-11-29 |