| NPI | 1851912042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS022443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT019831) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2023-09-05 |