| NPI | 1053577601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS021774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS12353) |
| 207R00000X Internal Medicine (Licence: MS 23342) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2022-07-18 |