| NPI | 1841601143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 61300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT206151) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2019-07-01 |