| NPI | 1528024585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 219752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12161) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-03-28 |