| NPI | 1942278544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME 015118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 13464) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-10-27 |