| NPI | 1114361839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD474749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME131321) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2023-10-11 |