| NPI | 1174009989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME147734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071993) |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2024-07-30 |