| NPI | 1497981187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME124473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 270211) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2021-10-04 |