| NPI | 1740695196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME158333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 78436) |
| 207R00000X Internal Medicine (Licence: WA MD61004639) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-12-13 |