| NPI | 1083979942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME136155) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 45787) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2020-08-25 |