| NPI | 1790718062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME149807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A68073) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2021-07-14 |