| NPI | 1437173465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 73013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 11393) |
| 207R00000X Internal Medicine (Licence: VT 042-0012060) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-07-21 |