| NPI | 1164493300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD073683L) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD073683L) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2016-09-20 |