| NPI | 1245722941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME164908) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN26264) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2024-11-05 |