| NPI | 1124403779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME179524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019014002) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2026-07-01 |