| NPI | 1780728188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101259225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME116776) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2015-12-01 |