| NPI | 1649687567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME148121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 131025) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2024-01-18 |