| NPI | 1114986379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 35458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD072647L) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-10-23 |