| NPI | 1447665112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME174538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A170758) |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2025-09-08 |