| NPI | 1669033163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME157241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019022847) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-12-02 |