| NPI | 1003487521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME169428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL L.5537R) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-08-12 |