| NPI | 1275524654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 91691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2004-0573) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2026-02-06 |