| NPI | 1679764120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 103903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME103903) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2022-10-20 |