| NPI | 1417352592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152056) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289984) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2021-12-29 |