| NPI | 1598756074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: FL ME 87831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME87831) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-02-21 |