| NPI | 1720030950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME102817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50118) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-05-08 |