| NPI | 1407134489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 120288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199516) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2014-10-27 |