| NPI | 1962723239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 25563) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2024-02-01 |