| NPI | 1831277250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME132845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC BH8939855) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-01-10 |