| NPI | 1659952927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD490172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME170559) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2025-07-29 |