| NPI | 1811500127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD483058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D96444) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2025-08-27 |