| NPI | 1760701437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 24182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190360) |
| 207R00000X Internal Medicine (Licence: VA 0101261522) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2025-10-01 |