| NPI | 1205890258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD063751L) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: PA MD063751L) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-04-10 |