| NPI | 1043755770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 72339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD469258) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2024-10-17 |