| NPI | 1033464979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252967) |
| 207R00000X Internal Medicine (Licence: VA 0101256897) | |
| 207R00000X Internal Medicine (Licence: MD D0083080) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2021-08-20 |