| NPI | 1861456790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME114757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 053843) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2016-01-05 |