| NPI | 1225482409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME162780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A167117) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-06-19 |