| NPI | 1891378014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS023596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT020634) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2024-08-07 |