| NPI | 1568782936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MA 253611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-244600) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2015-07-13 |