| NPI | 1477182418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 96373) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME158344) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-11-10 |