| NPI | 1013533124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD482282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0040559) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2026-08-06 |