| NPI | 1861985830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-47855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME166060) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-07-11 |