| NPI | 1154734051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME153660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT206813) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-04-20 |