| NPI | 1730155060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0070385) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME0070385) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2019-10-23 |