| NPI | 1063687275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 226153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 101962) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2021-11-03 |