| NPI | 1548557168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME120978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101256354) |
| 207R00000X Internal Medicine (Licence: PR 18419) | |
| 207R00000X Internal Medicine (Licence: MS 26284) | |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2022-08-16 |