| NPI | 1487689717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 14977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 227824) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-07-15 |