| NPI | 1275770414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 103512) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL ME103512) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2023-12-27 |