| NPI | 1013199181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P9664) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2020-03-19 |