| NPI | 1750548491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0072489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 186993) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2022-05-26 |