| NPI | 1477189470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD490301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 95986) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2025-09-24 |