| NPI | 1689011736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME127992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN19052) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-01-29 |