| NPI | 1508207853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME136468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101256575) |
| 207R00000X Internal Medicine (Licence: PR 20877) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2022-01-07 |