| NPI | 1356515019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 107763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME107763) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2020-05-13 |