| NPI | 1548531981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 111643) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 111643) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2023-03-03 |