| NPI | 1558359794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD426414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 97421) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2026-03-17 |