| NPI | 1306801196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME150341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004032537) |
| 207R00000X Internal Medicine (Licence: AR E-3412) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-05-05 |