| NPI | 1811302011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME132863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315067012) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2021-03-29 |