| NPI | 1720008436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME115074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 33594) |
| 207Q00000X Family Medicine (Licence: FL ME115074) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-09-19 |