| NPI | 1669962189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME149802) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 336350) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2026-01-21 |