| NPI | 1396276143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 41189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME162937) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-04-17 |