| NPI | 1528395811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME112909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R70450) |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2021-11-19 |