| NPI | 1164557765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: PA md036270l) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD036270L) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-07-12 |