| NPI | 1801863923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0066896) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME66896) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2022-01-12 |