| NPI | 1902251861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME155502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R75443) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2022-09-12 |