| NPI | 1629464193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD487173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 202650761) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2024-12-06 |