| NPI | 1164410585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD065791L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 20986) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2023-07-06 |