| NPI | 1396702700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 102792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 223054) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2023-08-03 |