| NPI | 1972597193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME90116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL Me90116) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2021-10-18 |