| NPI | 1568404663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT CT043985) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-03-23 |