| NPI | 1598835571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME120549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 10708) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-02-09 |