| NPI | 1326429606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS019247) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016770) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2019-10-04 |