| NPI | 1568400554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 18251) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-02-11 |