| NPI | 1598108953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME151844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A143070) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-11-19 |