| NPI | 1982134789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD470689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213989) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-03-23 |