| NPI | 1710927538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 223444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH T0383) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-02-03 |