| NPI | 1326322801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME138293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 81406) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2021-06-03 |