| NPI | 1154707065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME158572) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.066470) |
| 207R00000X Internal Medicine (Licence: IL 036-144539) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2023-01-11 |