| NPI | 1861997033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 4499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS021649) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-12-18 |