| NPI | 1578097192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME159891) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A169216) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2023-05-12 |