| NPI | 1942225040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 233605) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 11308) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-03-04 |