| NPI | 1700013034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME131874) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259069) |
| Enumeration Date | 2009-06-13 |
| Last Update Date | 2022-01-18 |