| NPI | 1942569876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME128846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015011040) |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2022-02-14 |