| NPI | 1720401318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME150276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285727) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2022-07-28 |