| NPI | 1811503139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D98008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD490704) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2025-06-16 |