| NPI | 1477901528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME151248) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD468883) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2021-09-07 |