| NPI | 1457350357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME150789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 225305) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2022-10-17 |