| NPI | 1821033432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME135772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 43118-020) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-06-24 |