| NPI | 1629420492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD488182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 23023) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2025-03-06 |