| NPI | 1982055646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS019938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 0140) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-01-02 |