| NPI | 1134508518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD487334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD22130) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2025-02-06 |