| NPI | 1629256672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME129706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 12755) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2018-06-12 |