| NPI | 1912156621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME161232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250364) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2024-04-19 |