| NPI | 1578067773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD474673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 307008) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-10-22 |