| NPI | 1790098242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 47560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196457) |
| 207R00000X Internal Medicine (Licence: MS 27732) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2022-08-13 |