| NPI | 1124245816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME107751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 296220) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2021-11-22 |