| NPI | 1477785400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME120307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003646) |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2019-05-29 |