| NPI | 1962843706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL ME135311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH ACK) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2018-08-21 |