| NPI | 1508013590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME114296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092449) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2014-05-08 |