| NPI | 1194285486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME156325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 69878) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2023-04-08 |