| NPI | 1538542931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD23380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME P31336) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2020-10-23 |