NPI | 1013408699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME172898) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY p10099) |
207R00000X Internal Medicine (Licence: NC 2025-00695) | |
Enumeration Date | 2018-05-19 |
Last Update Date | 2025-03-28 |