| NPI | 1063156313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS023288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT021525) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2025-09-08 |