| NPI | 1982221750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD4819834) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD481834) |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2024-04-24 |