| NPI | 1396056941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: PA OS018555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS018555) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-02-29 |