| NPI | 1831586536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A143996) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-03-05 |