| NPI | 1053621045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME1197742) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195051) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2021-05-27 |