| NPI | 1689957482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056653) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2014-02-03 |