| NPI | 1992375604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 25692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT222594) |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2024-04-10 |