| NPI | 1104860105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME072378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME72378) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-08-25 |