| NPI | 1083009278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD465108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 290412) |
| 207R00000X Internal Medicine (Licence: WV 27722) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2023-05-08 |