| NPI | 1316634512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS026333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 1316634512) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2026-09-16 |