| NPI | 1568966745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME167674) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1568966745) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-04-12 |