| NPI | 1598994055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME118365) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME118365) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2023-05-25 |