| NPI | 1114471422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME138148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.067988) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2019-07-24 |