| NPI | 1992063556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS016975) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT014475) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2023-01-05 |