| NPI | 1588840425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD434377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT185795) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2021-05-06 |