| NPI | 1851617427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME122848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 52087) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2021-09-02 |