| NPI | 1730321514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042-0012707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 263945) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2016-07-29 |