| NPI | 1144715020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OT018723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC DO210001785) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2024-10-31 |