| NPI | 1497046007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0098154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.149120) |
| 207R00000X Internal Medicine (Licence: FL ME163916) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2024-06-11 |