| NPI | 1215477161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME146335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212370) |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2021-09-02 |