| NPI | 1801005418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME-117566) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16274) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-01-04 |