| NPI | 1477507473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME139527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD161322) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-08-20 |