| NPI | 1548598055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME111893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C148846) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2018-03-17 |