| NPI | 1013650100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD495082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 326600) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2026-07-10 |