| NPI | 1164057261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME139133) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8996) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-13 |