| NPI | 1003161480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME132486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 26495) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2019-01-25 |