| NPI | 1821099839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME130884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 33796) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2022-08-31 |