| NPI | 1528502895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME136887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 23633) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2022-01-27 |