| NPI | 1811196215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME107435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 062791) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2016-11-11 |