| NPI | 1417511338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME162839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10067166) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-01-22 |