| NPI | 1992368385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME169904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 317495) |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2025-10-29 |