| NPI | 1902434087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME163286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 338566) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-10-07 |