| NPI | 1346771334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD482469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020021393) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-08-30 |