| NPI | 1205569431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD495207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1024503) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2026-06-16 |