| NPI | 1205165610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME122810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD447718) |
| 207R00000X Internal Medicine (Licence: PA MT196222) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2024-10-01 |