| NPI | 1588287494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD481927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220181) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2025-07-07 |