| NPI | 1447411624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 246537) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 14896) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2014-02-26 |