| NPI | 1760893408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 77251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME132505) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2024-07-22 |