| NPI | 1255818381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD474824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT214932) |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2021-07-23 |