| NPI | 1376009910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME165830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 34985) |
| 207R00000X Internal Medicine (Licence: PR 23486) | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2024-04-03 |