| NPI | 1144459876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 273364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME115127) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2023-07-03 |