| NPI | 1629556915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD475778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT214942) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2021-09-29 |