| NPI | 1568483956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0009540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 10114) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2014-10-28 |