| NPI | 1588773543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME115415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 33162) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-11-05 |