| NPI | 1447750930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD474634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT214766) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-09-09 |