| NPI | 1760935852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 67351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD468716) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2021-06-29 |