| NPI | 1275799439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME137200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 049585) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2020-05-19 |