| NPI | 1124633847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD d97325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220353) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-06-27 |