| NPI | 1649530841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME121956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251812) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2024-05-15 |