| NPI | 1417217498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME126154) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18399) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2021-03-19 |