| NPI | 1639550692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME136203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN22020) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2018-08-09 |