| NPI | 1538429287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME123178) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN17300) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2015-08-13 |