| NPI | 1003262668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H0100219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017043) |
| 207R00000X Internal Medicine (Licence: MN 72609) | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2024-09-18 |