| NPI | 1801834106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 16375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 215887) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-12-03 |