| NPI | 1689800880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-00885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME113025) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2013-07-01 |