| NPI | 1639559511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 57037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209305) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-08-06 |