| NPI | 1043943582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT237378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MTL600001633) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2026-05-20 |