| NPI | 1700316379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME143509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 24613) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-09-23 |