| NPI | 1962863266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME132628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN20593) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2023-10-16 |