| NPI | 1285291872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301506774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT217714) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2022-06-08 |