| NPI | 1942615075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A147792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH LT-3875) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2018-06-12 |