| NPI | 1902070907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME115738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244469) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2021-01-21 |