| NPI | 1235792607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME160901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT217191) |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2023-05-25 |