| NPI | 1073809828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD464812) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255463) |
| 207R00000X Internal Medicine (Licence: PA MT300352) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2020-03-20 |