| NPI | 1952377277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME125979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042691) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2021-07-19 |