| NPI | 1164615829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME108938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT185422) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2020-04-23 |