| NPI | 1851657399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME157226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 073720) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-10-06 |