| NPI | 1932214178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 243582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 13582) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-12-14 |