| NPI | 1003221359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT206220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 83714) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2019-09-21 |