| NPI | 1871668244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD044733L) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: PA MD044733L) |
| 207R00000X Internal Medicine (Licence: ME MD27021) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-05-04 |