| NPI | 1205036431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME112177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD441048) |
| 207R00000X Internal Medicine (Licence: GA 77483) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2021-04-13 |