| NPI | 1528283553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME119795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2010-0244) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2015-01-16 |