| NPI | 1255524583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME123759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-095849) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2019-01-25 |