| NPI | 1730827726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 36708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD488491) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2026-07-17 |