| NPI | 1891985198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME125895) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16593) |
| 207R00000X Internal Medicine (Licence: PR 16593) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-08-13 |