| NPI | 1861770299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 258233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248831) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2014-12-09 |