| NPI | 1801357546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT224771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD478181) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-07-07 |