| NPI | 1043310790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME121732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 41032) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2015-11-10 |