| NPI | 1871518381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME93473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 035623) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-01-15 |