| NPI | 1467416016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD064839L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD064839L) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2025-07-15 |