| NPI | 1881884419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME105729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.203394) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2023-12-27 |