| NPI | 1235355074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME82833) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME 82833) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-03-17 |