| NPI | 1952504789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152172) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 201000628) |
| 207R00000X Internal Medicine (Licence: OH 35.096764) | |
| 282N00000X General Acute Care Hospital (Licence: NC AN3187956-S36) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-03-29 |