| NPI | 1629452719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME144239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 61684) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2023-03-07 |