| NPI | 1598257610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD473953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215121) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2021-09-09 |