| NPI | 1225267222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME137240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271213) |
| 207R00000X Internal Medicine (Licence: HI 15292) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2024-01-18 |