| NPI | 1386623577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME129351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 39798) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2024-03-01 |