| NPI | 1477607810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME102471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 15189) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-03-01 |