| NPI | 1629730254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-02272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT222307) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2024-08-30 |