| NPI | 1770698573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 228849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD22701) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-11-11 |