| NPI | 1386740595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME119280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 038741) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-11 |