| NPI | 1194184937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME160307) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14017-I) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2024-08-14 |