| NPI | 1639126014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME103437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 227954) |
| 207R00000X Internal Medicine (Licence: FL ME 103437) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-09-20 |