| NPI | 1881343069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME165294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN35468) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2023-12-11 |