| NPI | 1629080023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 233599) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-06-06 |