| NPI | 1972983542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD464918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT209483) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-06-14 |