| NPI | 1598734717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2012-0105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 23889) |
| 207R00000X Internal Medicine (Licence: VT 0420009815) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2015-01-07 |