| NPI | 1669470050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME148065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35068972) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2024-09-05 |