| NPI | 1194931717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME151052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16062) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2024-09-03 |