| NPI | 1891112843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME160168) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 077632) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-03-13 |