| NPI | 1760827448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS017391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015094) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2021-12-17 |