| NPI | 1417185596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 112675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01713) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2020-08-28 |