| NPI | 1467846295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 300576) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2023-06-21 |