| NPI | 1508928060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD27899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 17951) |
| 207R00000X Internal Medicine (Licence: VT 042.0015802-COMP) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NH 17951) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-03-11 |