| NPI | 1215033196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME104636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241087) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2023-03-06 |