| NPI | 1295362283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME167009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 167008) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-06-12 |