| NPI | 1962063206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1021951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME154781) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-02-24 |