| NPI | 1346425105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD438075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT187874) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2023-06-13 |