| NPI | 1881776441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME103331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-112524) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-06-10 |