| NPI | 1548497415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31802) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2013-12-06 |