| NPI | 1235593096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 3019) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2024-04-10 |