| NPI | 1538728571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 71021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT218499) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2022-08-10 |