| NPI | 1336565381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS023707) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007875) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2024-12-17 |