| NPI | 1710272737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME113740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN16004) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2014-09-04 |