| NPI | 1558369389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 79984) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2021-09-17 |