| NPI | 1669819512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME126870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN19087) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2022-12-21 |