| NPI | 1780044453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT210111) |
| 207R00000X Internal Medicine (Licence: PA MD468899) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2026-02-03 |