| NPI | 1952537680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240738) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2019-11-27 |