| NPI | 1194014282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD480671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53489) |
| 207R00000X Internal Medicine (Licence: NY 283954) | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2023-05-24 |