| NPI | 1316332141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME135713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64710) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-06-05 |