| NPI | 1235669821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D89130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT214036) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-09-06 |