| NPI | 1821359688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS019836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS11692) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2019-04-04 |