| NPI | 1457613093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0014405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251975) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2019-10-11 |