| NPI | 1356794275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 66005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211485) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2023-06-29 |