| NPI | 1023193984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME134751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 12644) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-11-11 |