| NPI | 1174941413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME142672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289944) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2019-09-27 |