| NPI | 1417935164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME139830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34528) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2020-08-28 |