| NPI | 1407829609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME118681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036096817) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-07-21 |