| NPI | 1417121138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME128216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 103261) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2016-09-12 |