| NPI | 1871627331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.091261) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-02-16 |