| NPI | 1629039888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 99107167A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD051504L) |
| 207R00000X Internal Medicine (Licence: WV 22727) | |
| 207R00000X Internal Medicine (Licence: VA 0101237577) | |
| 208D00000X General Practice (Licence: PA MD051504L) | |
| 207R00000X Internal Medicine (Licence: OH 097727) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-10-15 |