| NPI | 1740802875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME167055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN35761) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-08-08 |