| NPI | 1760469332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 0081090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME81090) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2022-09-09 |