| NPI | 1538504766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-01529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19120) |
| 207R00000X Internal Medicine (Licence: FL ME137615) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 19120) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME137615) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2024-07-02 |