| NPI | 1124211032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD447557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007023621) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2016-02-12 |