| NPI | 1598793606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME160421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12652) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-06-14 |