| NPI | 1093820821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 13961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD426138) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-07-18 |