| NPI | 1700396777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-15072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT214686) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2023-01-06 |