| NPI | 1376770727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME153516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31810) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2022-04-19 |