| NPI | 1730543349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD23366) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A155260) |
| 207R00000X Internal Medicine (Licence: FL ME142023) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2019-10-13 |