| NPI | 1447291604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 8152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 8013) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-08-29 |