| NPI | 1477527232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME138624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 11954) |
| 207R00000X Internal Medicine (Licence: OR MD175087) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2025-09-02 |