| NPI | 1588922942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME124491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A129549) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2021-12-22 |