| NPI | 1609066745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-02205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232497) |
| 207R00000X Internal Medicine (Licence: FL ME116989) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2015-01-14 |