| NPI | 1659574226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME115971) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116019236) |
| 207R00000X Internal Medicine (Licence: VA 0101248823) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101248823) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2014-09-18 |