| NPI | 1205330032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME150665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 150665) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2022-11-16 |