| NPI | 1760428007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 7563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0010338) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-07-18 |