| NPI | 1255715645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME136681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066229) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-10-15 |