| NPI | 1639854623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD494008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351050982) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2026-08-17 |