| NPI | 1548479314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME 2175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 70342) |
| 208D00000X General Practice (Licence: ME 2175) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-03-31 |