| NPI | 1881981876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME122937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248319) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2015-12-11 |