| NPI | 1982050688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME139163) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 22921) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2021-08-09 |