| NPI | 1821084740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME116857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 218013) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2019-12-09 |