| NPI | 1487001202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 301743) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2022-02-02 |