| NPI | 1316382179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME115275) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 293883) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-05-14 |