| NPI | 1720070295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME92454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD427213) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2023-04-28 |