| NPI | 1679887632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54650) |
| 207R00000X Internal Medicine (Licence: VA 0101254755) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2020-06-10 |