| NPI | 1497064018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 81411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197546) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2025-08-15 |