| NPI | 1811005457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME64921) |
| Additional Taxonomies | 207RA0000X Internal Medicine Adolescent Medicine (Licence: FL ME64921) |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: FL ME64921) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-07-22 |