| NPI | 1811182918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME104209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 253505) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2014-01-06 |