| NPI | 1902906381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036070011) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-04-18 |