| NPI | 1962667907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME123492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-126252) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2020-09-17 |