| NPI | 1205865862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME139437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301084766) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-05-09 |