| NPI | 1659765766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD486569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A147465) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-08-07 |