| NPI | 1124403787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 81106) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464937) |
| 207R00000X Internal Medicine (Licence: MN 69047) | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2023-03-01 |