| NPI | 1811151384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 110252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10031202) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2020-08-05 |