| NPI | 1922317528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME149486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-133105) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2022-05-18 |