| NPI | 1922310457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 79283) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2023-09-21 |