| NPI | 1851479257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME119340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241229) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-07-28 |