| NPI | 1528490091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME159690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 310911) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2025-09-17 |