| NPI | 1588697486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 36760) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-08-07 |