| NPI | 1891993994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 243668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 14926) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-09-06 |