| NPI | 1881253474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OT019225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 13483368-1204) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-08-28 |