| NPI | 1851478507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME110433) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002625ll) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-02-28 |