| NPI | 1548428501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME142792) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011185) |
| 207R00000X Internal Medicine (Licence: IL 125067551) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2020-02-24 |