| NPI | 1922535632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME164153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN29586) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2025-02-05 |