| NPI | 1407317746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME149601) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 92320) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-05-22 |