| NPI | 1598870123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD431460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A106659) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-02-11 |