| NPI | 1568489581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME93900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA ME0093900) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2025-11-11 |