| NPI | 1538139936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0062293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME62293) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2022-06-16 |