| NPI | 1174628390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME149688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 228251) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-10-30 |