| NPI | 1114952744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME151986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N9860) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-06-21 |