| NPI | 1063945830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS021516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 0516622) |
| 207R00000X Internal Medicine (Licence: FL 5681) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2025-07-03 |