| NPI | 1689891806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 12367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6024873-1205) |
| 207R00000X Internal Medicine (Licence: FL ME101431) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-02-20 |