| NPI | 1285281584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT219555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 72073) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2022-10-28 |