| NPI | 1598945297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME154983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A94577) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2022-08-29 |