| NPI | 1467721464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 120605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057433) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2014-09-25 |