| NPI | 1730717786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME164561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30842) |
| 207R00000X Internal Medicine (Licence: MN 69694) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2023-09-25 |