| NPI | 1386170983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS019646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017739) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2020-08-25 |