| NPI | 1790187748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301113854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207708) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2024-05-16 |