| NPI | 1811477136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT217133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MTL004638) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-12-14 |