| NPI | 1235583980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OSO22137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101022750) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2022-07-08 |