| NPI | 1164473336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME170064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 20763) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2025-02-27 |