| NPI | 1760521132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME106783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0066393) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-02-25 |