| NPI | 1487941456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141007) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014023584) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-06-25 |