| NPI | 1629480462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS018569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015982) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2021-02-23 |