| NPI | 1073710661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD448550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003554) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2015-09-03 |