| NPI | 1376701797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116644) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME116644) |
| 207R00000X Internal Medicine (Licence: SC 30813) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2019-02-04 |