| NPI | 1588014708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2025-00113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212079) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2025-01-15 |