| NPI | 1093162554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME140145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068399) |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2021-10-05 |