| NPI | 1013172717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 58530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 11934) |
| 207R00000X Internal Medicine (Licence: PA MT191996) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-05-17 |