| NPI | 1013394949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD463810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a172804) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-07-12 |