| NPI | 1275826315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME119829) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248109) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2021-03-22 |