| NPI | 1912918301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01063227A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT183455) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-10-16 |