| NPI | 1417997800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD13794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 013794) |
| 207R00000X Internal Medicine (Licence: NH 17130) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-08-30 |