| NPI | 1104805761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036101515) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2021-03-29 |