| NPI | 1184116931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME148473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 010033) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2021-07-21 |