| NPI | 1639739311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.145865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT217993) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2022-08-24 |