| NPI | 1922066604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 94626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 060459) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-10-29 |