| NPI | 1982616785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 236346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D64414) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2011-07-12 |