| NPI | 1831771880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS024050) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT020607) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2024-09-06 |