| NPI | 1902399462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301115543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351037875) |
| 207R00000X Internal Medicine (Licence: PA MT225424) | |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2022-06-24 |